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A young state with old structures

Uzbekistan's political system has thus far been tailored to the president, who was already at the top of the tree in Soviet times. While the government is pursuing transformation goals, these are only being implemented slowly. Furthermore, there is a considerable discrepancy between formal provisions and their real application in practice. The economic system remains largely state-controlled, even though the majority of small and medium-sized companies were already privatised some time ago. Various projects designed to promote sustainable development have been almost fully completed. KfW Development Bank is now focusing on helping Uzbekistan to reform its health sector. The Uzbek government's goal is to provide modern health care that meets international standards.

As was the case in other Central Asian countries, the social infrastructure of Uzbekistan achieved an impressive level during the Soviet period, but this is now proving difficult to maintain due to the fact that, from today's perspective, planning was overambitious, structures were duplicated, thus entailing high operating and maintenance costs. In addition to poverty-related diseases, such as tuberculosis, the spread of wealth-related ones is now increasingly confronting the health system with new diagnostic and therapeutic challenges. KfW Development Bank is therefore concentrating on supporting the health ministry in combating tuberculosis and in modernising hospital equipment in the country's different regions. As an accompanying measure, basic and advanced training measures are being funded e.g. for medical staff.